Provider Demographics
NPI:1568840726
Name:CRITICAL CARE PULMONARY & SLEEP ASSOC. PROF LLP
Entity Type:Organization
Organization Name:CRITICAL CARE PULMONARY & SLEEP ASSOC. PROF LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC INFORMATICS / PROJECT MANANA
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:K
Authorized Official - Last Name:SARACINO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:303-951-0592
Mailing Address - Street 1:274 UNION BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1813
Mailing Address - Country:US
Mailing Address - Phone:303-951-0600
Mailing Address - Fax:303-951-0605
Practice Address - Street 1:274 UNION BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1813
Practice Address - Country:US
Practice Address - Phone:303-951-0600
Practice Address - Fax:303-951-0605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04594040Medicaid
COQ2008Medicare PIN